- Lundbeck (Deerfield, IL)
- …In-depth experience working with pharmaceutical datasets (first-party patient data, third-party claims , EHR, demand data). + Excellent oral and written communication ... skills, with the ability to explain complex technical concepts to non-technical stakeholders. + Familiarity with regulatory standards in the pharmaceutical industry (eg, GxP, ALCOA+). **TRAVEL** : + Willingness/Ability to travel up to 20% domestically.… more
- UnityPoint Health (Rock Island, IL)
- …with insurance companies, providers, coders and case management to appeal denies claims + Collaborating with the central billing office, medical records, and ... information systems for all communications and information gathering activities + Follows EMTALA, HIPAA, payer and other regulations and standards Qualifications + Two years of experience in a hospital patient access/patient accounts department, medical… more
- GAP Solutions Inc (Springfield, IL)
- …Assisting with drafting SOP's. + Processing personal liability insurance reimbursement claims . + Initiating tentative selection notifications, notice of results or ... disposition letter. + Researching and compiling information on the full range of federal HR topics. + Responding to and providing general HR guidance to applicants and staff, maintain employee files. + Provide wide ranging administrative support to managers… more
- Evolent (Springfield, IL)
- …requesting or submitting prior authorization requests and/or relevant health care experience in claims or appeal & grievances is required. + Ability to read, write ... and speak the English language fluently with patients and providers. + Ability to adapt to fluctuating situations and perform work of a detailed nature, while avoiding errors. + Proficient using computer and Windows PC applications, which includes strong… more
- ZF (Vernon Hills, IL)
- …Assist in warranty inspections and provides failure analysis on ZF product warranty claims which may require some travel. + Travel internationally and domestic up to ... 20%. **Your profile as a Service Engineer:** + Bachelor's degree in engineering or related technical field. + Preferred 1+ years experience (including internship or co op). + Preferred experience with high voltage vehicle systems and CAN knowledge. + Preferred… more
- Walmart (Evergreen Park, IL)
- …merchandising; and completing required documentation. Tracks and processes claims by returning damaged goods; handling liquidation merchandise; maintaining ... and cleaning the clearance area; and utilizing technology to capture required reporting and documentation. Maintains safety of facility by following all safety standards, procedures, and guidelines; conducting safety sweeps; following proper forklift spotting… more
- Humana (Springfield, IL)
- …The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on problems of ... diverse scope and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with review policies,… more
- Elevance Health (Chicago, IL)
- …troubleshooting support strongly preferred. + Knowledge of payment integrity and claims systems is highly preferred. + Experience with Python, Angular/React and ... MongoDB is preferred. + Experience working with Cloud Based and Cloud Native applications are preferred. _For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $138,160 - $207,240._ _Locations:… more
- Defense Commissary Agency (Great Lakes, IL)
- …You MUST provide transcripts and/or other documentation to support your educational claims . Transcripts. REQUIRED when using education to meet qualifications or when ... education is required. Foreign education may be qualifying if a private organization specializing in interpreting foreign education programs has deemed the foreign education equivalent to that gained in an accredited US education program or a US accredited… more
- CVS Health (Northbrook, IL)
- …and regulations, including the Anti-Kickback Statute, the Stark law, the False Claims Act, HIPAA, state consumer privacy laws, interoperability regulations + An ... understanding of the broader health care industry, including health plan and provider types and structures, PBMs, telehealth delivery modalities, wellness programs, etc. + Experience with issues related to FDA regulation of software **Education** + Bachelor's… more